| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
547 |
504 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
156 |
$12K |
| 99215 |
Prolong outpt/office vis |
92 |
82 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$598.22 |
| 81003 |
|
89 |
87 |
$161.95 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
30 |
$99.66 |
| 96127 |
|
32 |
30 |
$89.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$73.30 |
| 81002 |
|
13 |
13 |
$32.78 |
| 3725F |
|
17 |
17 |
$0.00 |
| 3078F |
|
26 |
26 |
$0.00 |
| 1160F |
|
113 |
102 |
$0.00 |
| 3074F |
|
112 |
99 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |